Research public health issues on the "Climate Change" or "Topics and Issues" pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.Follow this outline when writing the policy brief:Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.Create a problem statement.Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.Discuss the impact on the health care delivery system.Include three peer-reviewed sources and two other sources to support the policy brief.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.______________________________________________________________________________________Topic: Community Assessment and Analysis PresentationThis assignment is PowerPoint (PPT) presentation.Assessment/InterviewSelect a community of interest in your region. Perform a physical assessment of the community.Perform a direct assessment of a community of interest using the "Functional Health Patterns Community Assessment Guide."Interview a community health and public health provider regarding that person's role and experiences within the community.Interview GuidelinesInterviews can take place in-person, by phone, or by Skype.Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.Complete the "Provider Interview Acknowledgement Form" prior to conducting the interview. Submit this document separately in its respective drop box.Compile key findings from the interview, including the interview questions used, and submit these with the presentation.PowerPoint PresentationCreate a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.Include the following in your presentation:Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.Summary of community assessment: (a) funding sources and (b) partnerships.Summary of interview with community health/public health provider.Identification of an issue that is lacking or an opportunity for health promotion.A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

3 sentances for each question. APA format and each questions needs 1 citation.Case Study: Helen Wright In a small college town, Susan Cooper, the nurse coordinator for the medical home initiative in a local primary care provider’s office, assess a new client. The nurse introduces herself and goes over the intake form with Helen Wright to plan for her care management. Ms. Wright was referred by the local ED because of repeated visits and complains of “no one caring” for her or her well-being. The ED staff voiced concern for Ms. Wright, because she is estranged from her family, lives by herself, and has a long history of bipolar disorder. Ms. Wright’s recent visits to the ED center on vague somatic complaints, and she often leaves before being seen by the doctor, stating that they are wasting her time and what is the point?1. What is a key benefit of medical home models for care coordination? Use the following link for assistance: www.commonwealthfund.org/publications/from-the-pre... (Davis, Abrams, & Haran, 2009).2. Because of the referral information, what should the nurse assess in Ms. Wright’s initial appointment?Nurse Susan reviews Ms. Wright’s chart and finds she is a 72-year-old widow who has lived in the same house for the past 40 years. Her husband died 7 years ago. Ms. Wright states her health has been poor, especially since she was recently diagnosed with diabetes. The ED report indicates her type 2 diabetes is well managed, along with her hypertension. Her clinical notes indicate that she often displays attention-seeking behaviors with vague physical symptoms. She reports taking Ambien (zolpidem) 10mg as needed at bedtime, due to an inability to sleep; Remeron (mirtazapine) 15mg at bedtime; Prozac (fluoxetine hydrochloride) 20mg daily, admitting she sometimes forgets to take the morning dose, so sometimes she takes it in the afternoon or evening; Lithium 600mg three times a day; Xanax (alprazolam) 0.5mg as needed for anxiety; Glucophage (metformin) 500mg twice a day with meals; and Calan (verapamil) 240mg daily. Her hemoglobin A1C is 6.5, her morning fasting blood sugar was 112, her lithium level is 1.0, and her blood pressure is 118/74. Ms. Wright states her children are ungrateful and refuse to visit her. Notes on her chart indicate that family members have been present at ED visits in the past, but Ms. Wright is verbally abusive and her mood is labile at times.3. What are common symptoms that the nurse should screen for with depression in Ms. Wright?4. What additional information would the nurse assess to determine suicide risk?5. What protective factors could help reduce suicide risk?Ms. Wright has a flattened affect and makes poor eye contact; she is oriented to person, place, and time. She reports difficulty sleeping at times and anxiety when she is unable to fall asleep. The nurse notes Ms. Wright is well-groomed and has a body mass index (BMI) of 23 with appetite 5-foot 2-inch frame. Ms. Wright has no limitations with her range of motion and states that she goes to the grocery store weekly. She states she used to attend church, but no longer attends because “those old cronies are just busy bodies.”6. What areas should the nurse probe in more detail to assess suicide risk with Ms. Wright?7. How should the nurse approach asking whether Ms. Wright is having suicidal thoughts?Nurse Susan asks, “How do you feel about living by yourself?” Ms. Wright crosses her arms and says, “Well I am fine, what a silly question . . . my family says I am not easy to live with, because some days I am up, but most days I am down. They get tired of listening, so now I am just tired of living.” Ms. Wright reports to Susan that she feels passive about suicide and denies having a plan. She states she had attempted suicide about 20 years ago by overdosing on her medications; however, she denies a current suicide plan, stating she knows that would be wrong.8. What type of safety plan should the nurse establish with Ms. Wright?Ms. Wright agrees to enter into a verbal contract and see the social worker at the practice to establish a mental health care plan, along with managing her diabetes and high blood pressure with the primary care doctor. Nurse Susan gives her a hotline number that is available 24/7, should Ms. Wright feel alone and want someone to talk with: National Suicide Prevention Lifeline at www.suicidepreventionlifeline.org; 1-800-273-TALK (8255).The nurse takes this opportunity to review Ms. Wright’s medications and develop a medication therapy management (MTM) plan to improve her care outcomes (Cooper & Burfield, 2007). The nurse reminds Ms. Wright to take her lithium after meals with plenty of water to reduce stomach upset, and to have her lithium level checked monthly.9. Ms. Wright’s medication put her at the highest risk for which of the following? Select all that apply.a. Neurotoxicityb. Fallsc. Constipationd. bradycardiaNurse Susan recommends a medication review by the clinical pharmacist and with the care planning team at their clinic. Susan explains that she has concern about the combination of her medications and the risk of medication interactions and her risk of falling. The nurse explains that her Prozac should only be taken first thing in the morning, as this medication can cause excitability, making it difficult to go to sleep if taken too close to bedtime. Ms. Wright verbalizes an understanding of her medications and agrees to return for further coordination of services. Ms. Wright states she feels much better having someone to talk to and knowing she can come to this one location and access all her care.Suggested ResourcesCenters for Disease Control and Prevention. (2012). Web-based inquiry statistics query and reporting System (WISQARS). National Center for Injury Prevention and Control CDC Web site. Retrieved From http://www.cdc.gov/injury/wisqars/index.htmlCooper, J. W., & Burfield, A. H. (2007). Medication therapy management (MTM) strategies for geriatric patient interventions: Medicare part D implementation. Annals of Long-Term Care: Clinical and Aging, 15(7), 33-38.Davis, K., Abrams, M. K., & Haran, C. (2009). Can patient-centered medical homes transform health care Delivery? The Commonwealth Fund. Retrieved from http://www.commonwealthfund.org/ publications/from-the-president/2009/can-patient-centered-medical-homes-transform-health- care-delivery

Article Analysis and Evaluation of Research Ethics Search the GCU Library and find one new health care article that uses quantitative research.  Complete an article analysis and ethics evaluation of the research using the "Article Analysis and Evaluation of Research Ethics" template. See Chapter 5 of your textbook as needed, for assistance.